Cheyne, John
Cases of apoplexy and lethargy: with observations upon the comatose diseases.. London, printed for Thomas Underwood, Medical Bookseller, ..., 1812, 8°, (8), 224, (2), 5 gestochene Tafeln, Halbledereinband der Zeit; Rücken erneuert.. Rare First Edition! - - LAST BLANK LEAF WITH ANCIENT MANUSCRIPT ENTRY FROM A PORTUGUESE PHYSICIAN DESCRIBING HIS PERSONAL WITNESS ACCOUNTS AND THEORIES ON CASES OF APOPLEXY IN PORTUGAL. - - The earliest illustration of a subarachnoid hemorrhage appears in a work by John Cheyne (1777- 1836) entitled Cases of Apoplexy and, Lethargy. Cheyne is usually recognized for his description of hydrocephalus and for his part in describing the syndrome of Cheyne-Stokes respiration, not for his association with cerebral aneurysms. The case presented by Cheyne was that of a woman who collapsed shortly after an altercation with her husband. The autopsy was performed by the surgeon and anatomist Sir Charles Bell (1774-1842). The illustration of the base of the brain shows a diffuse subarachnoid hemorrhage with a straw protruding from a hole in the carotid artery at its bifurcation. Although an aneurysm is not described, the history and the diffuse nature of the hemorrhage, and particularly the location of a hole in the carotid artery at the bifurcation, leave little doubt about its origin. The patient's husband was tried for murder but acquitted on the basis of Bell's testimony that her state of intoxication had made her more susceptible to a hemorrhage. Charles Bell does not seem to have discussed cerebral aneurysms in any of his extensive writings on the nervous system." Eugene S. Flamm, Cerebral Aneurysms and Subarachnoid Hemorrhage, p.264ff. In Greenblatt, et al., Hist. Of Neurosurgery (1997) - - Rare - Not in Waller, Osler, Cushing and Normann. - - Garrison & Morton, No.4519.1; Welcome II, p.339
[Bookseller: Antiquariat für Medizin - Fritz-Dieter S]